Individual
IVETTE MARIA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
HF16 CALLE LIZZIE GRAHAM, TOA BAJA, PR 00949-3634
(787) 795-2935
(787) 200-2839
Mailing address
PO BOX 51513, TOA BAJA, PR 00950-1513
(787) 795-2935
(787) 200-2839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3526
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051168
PR BOARD OF PHARMACY
PR
Enumeration date
08/06/2018
Last updated
08/06/2018
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